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psnet.ahrq.gov/node/47352/psn-pdf
February 13, 2019 - When is the surgeon too old to operate?
February 13, 2019
Span P. New York Times. February 1, 2019.
https://psnet.ahrq.gov/issue/when-surgeon-too-old-operate
Cognitive and functional decline can occur as individuals age. Concerns have been raised regarding the
need to assess skills of aging physicians. This newspa…
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psnet.ahrq.gov/node/36816/psn-pdf
August 26, 2011 - Embedding quality improvement and patient safety - the
UCLA value analysis experience.
August 26, 2011
Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis
experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92.
https://psnet.ahrq.gov/issue/embedding-quality-…
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psnet.ahrq.gov/node/37124/psn-pdf
December 04, 2016 - Mortality as a measure of quality: implications for
palliative and end-of-life care.
December 4, 2016
Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care.
JAMA. 2007;298(7):802-804.
https://psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative…
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psnet.ahrq.gov/node/43675/psn-pdf
April 18, 2016 - Patient Safety 2015: Final Technical Report.
April 18, 2016
Washington, DC: National Quality Forum; 2016.
https://psnet.ahrq.gov/issue/patient-safety-2015-final-technical-report
The value of current measures to track patient safety has been called into question. This technical report
provides information about a c…
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - radiologist follow-up recommendation rates may be due to lack of consensus on best
practices even when evaluating
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
April 01, 2015 - PowerPoint Presentation
Spotlight
Dissecting the Presentation
*
This presentation is based on the April 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Shirley Beng Suat Ooi, MBBS (S'pore), Emergency Medicine Department, National Univers…
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psnet.ahrq.gov/web-mm/listen-family
April 15, 2015 - Listen to the Family
Citation Text:
Campbell D. Listen to the Family. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
September 01, 2006 - Anesthesia: A Weighty Issue
Citation Text:
Sinha AC. Anesthesia: A Weighty Issue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case October 2007
Do Not Disturb!
Source and Credits
This presentation is based on the October 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and…
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
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psnet.ahrq.gov/node/49394/psn-pdf
April 01, 2003 - Premature or Overdue?
April 1, 2003
Thomas J, Hannah M. Premature or Overdue? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/premature-or-overdue
The Case
A 32-year-old woman, gravida 3, para 1, presented for prenatal care at 24 weeks. Her past medical history
was unremarkable, and results of her prenatal …
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psnet.ahrq.gov/node/49788/psn-pdf
March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A
Pharmacist Intervention
March 1, 2017
Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
The Case
A 48-year…
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psnet.ahrq.gov/node/37350/psn-pdf
January 05, 2012 - How safe is my intensive care unit? Methods for
monitoring and measurement.
January 5, 2012
Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for
monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8.
https://psnet.ahrq.gov/issue/how-safe-my-intensive-care-un…
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psnet.ahrq.gov/node/37161/psn-pdf
January 20, 2010 - Attitudes of health sciences faculty members towards
interprofessional teamwork and education.
January 20, 2010
Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional
teamwork and education. Med Educ. 2007;41(9):892-896.
https://psnet.ahrq.gov/issue/attitudes-heal…
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psnet.ahrq.gov/node/37854/psn-pdf
May 28, 2014 - Workplace empowerment and magnet hospital
characteristics as predictors of patient safety climate.
May 28, 2014
Armstrong K, Laschinger H, Wong C. Workplace empowerment and magnet hospital characteristics as
predictors of patient safety climate. J Nurs Care Qua. 2009;24(1):55-62.
doi:10.1097/NCQ.0b013e31818f5506.
…
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psnet.ahrq.gov/node/44198/psn-pdf
July 01, 2016 - Safety and diagnostic accuracy of tumor biopsies in
children with cancer.
July 1, 2016
Interiano RB, Loh AHP, Hinkle N, et al. Safety and diagnostic accuracy of tumor biopsies in children with
cancer. Cancer. 2015;121(7):1098-107. doi:10.1002/cncr.29167.
https://psnet.ahrq.gov/issue/safety-and-diagnostic-accuracy-…
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psnet.ahrq.gov/node/42216/psn-pdf
June 28, 2013 - Simulation for ward processes of surgical care.
June 28, 2013
Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg.
2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013.
https://psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
This commentary describes one hospital…
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psnet.ahrq.gov/node/35845/psn-pdf
June 13, 2011 - Reconcilable differences: correcting medication errors at
hospital admission and discharge.
June 13, 2011
Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital
admission and discharge. Qual Saf Health Care. 2006;15(2):122-6.
https://psnet.ahrq.gov/issue/reconcilable-di…
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psnet.ahrq.gov/node/35047/psn-pdf
November 04, 2015 - Managing patients with identical names in the same ward.
November 4, 2015
Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care
Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23.
https://psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
This case rep…
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psnet.ahrq.gov/node/36157/psn-pdf
September 29, 2010 - Adverse drug event reporting in intensive care units: a
survey of current practices.
September 29, 2010
Kane-Gill SL, Devlin JW. Adverse drug event reporting in intensive care units: a survey of current practices.
Ann Pharmacother. 2006;40(7-8):1267-73.
https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-int…